Flexible Job Search Results

Below are your search results for jobs that are available in texas; are in Category: Insurance; are in American Heart Association - Fit Friendly Companies, Human Rights Campaign Best Places to Work. To filter (or to expand) your results, please use the options in the right sidebar. This will help you customize the results as much, or as little, as you want to!

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Job Search Results
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Posted

Execute and deliver operational readiness plans for providers and provide support and training to the team and users. Must have a BA/BS degree in a Business-related field, along with 5+ years' healthcare organization experience. Remote options.

Operations Analyst needed. Will be receiving and responding on federal regulatory complaints that are related to claims and payment issues. Will be managing plan dispute escalations. Perform review of dispute outcomes. 4-year degree req.

Seeking a provider reimbursement administrator who has experience with FACETS as well as Access or SQL. Responsibilities include performing root cause research regarding provider appeals and claims inquiries. Option for telecommuting offered.

Remote, full-time job.Needs a bachelor's degree and five years' experience within the health care industry.Receive and respond to complaints related to claims, billing and payment issues, manage health plan dispute and will review various outcomes.

Work from any location and assist with negotiating ancillary and hospital contracts, and initiate a productive relationship with group members and practice administrators. Will communicate with departments and ensure efficient business results.

Full-time position with some remote work & 50% travel. Duties include working with an automated rating & pricing system and consulting with clients on requirements gathering & system design, configuration, & implementation. Bachelor's required.

User relevant data to identify and resolve various problems and engage exclusively within a specific area. 2+ years of experience working in a corporate setting and on platforms such as Phycon and Emptoris are needed. Remote job.

Develop innovative processes for platform support on a cross-functional team. Must have a bachelor's degree in a business field and three years of healthcare or insurance experience. Full-time, home-based job with 25% travel.

Perform sales and business support functions for the data collections and small business sales divisions. Must have a high school education and proficiency in Excel; a bachelor's degree is preferred. Full-time, remote position.

Conduct configuration testing on current and new products and validate design matches. Will conduct peer reviews, communicate test results and participate in testing and quality assurance. Option for remote position with travel required.

Identify and collaborate with provider groups, mentor and train younger associates, provide provider/member metrics, identify and educate on provider best practices, and more. Must have experience as a RN or LPN. Full-time, remote with heavy travel.

Lead actuarial functions and make recommendations on pricing/marketing activities. Must have a BS/BA degree, ASA from the SOA, and at least 4 years' experience or an equivalent amount of education and experience. Option for telecommuting.

Work from home and travel around the region providing service to policyholders regarding large personal lines property loss exposures. Must have a bachelor's degree or equivalent experience and a relevant background. Some remote work.

Will work on facilitating the delivery of appropriate benefits and healthcare information, gathering clinical information, and developing and implementing Health Strategies. 3+ yrs of clinical experience required. Full-time with remote option.

Will work on analyzing and interpreting the key drivers of health care trends, conducting and evaluating studies, developing pricing methodologies, and performing mathematical analyses and actuarial modeling. Full-time with option for remote work.

Will work on developing and delivering a concise credible external network value story, leading network solutioning, and ensuring the evaluation of network strategy. 5+ yrs of experience required. Master's preferred. Full-time with remote option.

Full-time job, remote option. Needs. PhD in statistics and five years' work related experience. Build subject matter expertise in the available data, develop models that help our business identify risk and will measure impact of predictive modeling.

Full-time job, remote option. Needs a bachelor's degree and two to three years' work related experience. Review individual provider contracts together to ensure compliance, analyze each new provider and will respond to system inquiries and appeals.

Provide technical and pricing support for renewal pricing to users, coordinate the accuracy and maintenance of Rating Tables and testing and work closely with products, systems and sales. Option for remote position.

Provide actuarial support across business and actuarial needs and work on complex problems. Be responsible for the development and enhance Medicaid modeling and reporting capabilities. Must have 8+ years of experience. Work remotely from home.

A senior content leader is needed to provide direction to identify and address business opportunities and issues. This will be a full-time, remote role. Prefer bachelor's in journalism or related field and experience with document sharing systems.

Sell products to worksite employees within a territory in this full-time, mostly telecommuting position. Must have 60+ hours' college completed, a stable employment background, and pipeline building skills. Some travel required.

Seeking an account manager for a remote role that requires travel. The ideal candidate must have an associate's or bachelor's degree, two years of sales experience, and a pattern of success demonstrated by career growth.

Provide assistance to corporate clients and legal counsel, leverage industry expertise, analyze trends in the healthcare industry and train junior level team members. Part-time, remote with travel by plane within the US and possibly internationally.

Senior consultant needed for a part-time position requiring an HS diploma and eight+ years' risk engineering experience, or equivalent. Will perform a variety of duties in support of risk management and mitigation. BA/BS a plus. Some travel required.

Solicit and write business for livestock producers and conduct evaluations within a territory. Full-time, mostly telecommuting position with some travel. Must have a bachelor's degree, along with knowledge and experience in the livestock industry.

The company has an opening for a remote provider network manager with at least two yrs' relevant experience. Responsibilities include developing the provider network, negotiating contracts, & helping prepare financial projections. May require travel.

Gather requirements, analyze/design products, and configure benefit plans. Must have a bachelor's degree or equivalent experience, along with 3+ years' benefit, claim, or enrollment configuration experience. Full-time role with remote options.

Handle complex claims, work with new hires by serving as a coach while assisting with the maximization of abilities relating to service delivery. Will assist UL with work prioritization and workload balancing. Option for remote position.

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